YONGTIAN TINA TAN (NPI# 1528555646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528555646 |
| Entity Type | Individual |
| Full Name | YONGTIAN TINA TAN |
| Credential | MD |
| Practice Address |
7522 Ne 204th Pl Kenmore WA 98028-2079 |
| Practice Telephone | 8573647405 |
| Mailing Telephone | 8573647405 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MA | Student, Health Care |
| Street Address |
7522 NE 204TH PL |
| City | KENMORE |
| State | WA |
| Zip Code | 98028-2079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131237 | Pacifica Kenmore LLC | Alzheimer Center (Dementia Center) | 7221 Ne 182nd Street, Kenmore, WA 98028 | 2020-10-13 |
| 1487173183 | Reiko Margarete Kobayashi-wagner | Dietitian, Registered | 17512 83rd Pl Ne, C304, Kenmore, WA 98028 | 2017-09-13 |
| 1356866776 | Matthew Vaughn | Specialist/Technologist | 6741 Ne 182nd St, Unit C313, Kenmore, WA 98028 | 2017-08-07 |
| 1619407467 | Suzanne Marie Gisch | Family Medicine | 18151 68th Ave Ne, Unit 219, Kenmore, WA 98028 | 2017-06-14 |
| 1063853018 | Vinai Prakash | Podiatrist | 6610 Ne 181st St Ste 4, Kenmore, WA 98028 | 2013-07-07 |
| 1760732580 | Benjamin Dorantes Dds Pllc | Dentist | 5710 Bothell Way Ne, Ste. 5, Kenmore, WA 98028 | 2012-09-19 |
| 1538491378 | Kellie A Cheever | Massage Therapist | 8846 Ne 160th Pl, Kenmore, WA 98028 | 2010-02-04 |
| 1275867855 | Mei-hsuan Ko | Dentist | 5723 Ne Bothell Way Ste C, Kenmore, WA 98028 | 2009-09-29 |
| 1659521912 | Wayne E Carr | Psychologist | 7800 N E Bothell Way, Suite 155 B, Kenmore, WA 98028 | 2008-09-23 |
| 1366625899 | Kevin Michael Smith | Chiropractor | 7249 Ne 171st Ln, Kenmore, WA 98028 | 2007-12-06 |
| Find all providers in zip 98028 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018259 | Alyssa Ciancio | Student in an Organized Health Care Education/Training Program | 223 School St, Kenmore, NY 14217-1170 | 2020-09-22 |
| 1316585201 | Emma Rae Rooney | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave., Kenmore, NY 14217 | 2019-12-11 |
| 1083999643 | April Snow | Student in an Organized Health Care Education/Training Program | 5628 Ne 202nd St, Kenmore, WA 98028-8515 | 2011-10-14 |
| 1245853951 | Taylor M Wagner | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-05-28 |
| 1114540135 | Eric M Mandel | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-05-26 |
| 1972092203 | Morgan E Nicholson | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2018-05-02 |
| 1255864484 | Caleb Earl | Student in an Organized Health Care Education/Training Program | 110 Chatsworth Ave, Apt #3, Kenmore, NY 14217-1452 | 2017-04-05 |
| 1720438096 | Kayla Dawn Fielder | Student in an Organized Health Care Education/Training Program | 2900 Delaware Avenue, Kenmore, NY 14217 | 2016-06-17 |
| 1326321209 | Catherine Grace Wills | Student in an Organized Health Care Education/Training Program | 3767 Delaware Ave, Kenmore, NY 14217-1040 | 2011-09-27 |
| 1477847440 | Bonnie A. Seaman | Student in an Organized Health Care Education/Training Program | 3767 Delaware Ave, Kenmore, NY 14217-1040 | 2011-06-07 |
| Find all providers in KENMORE | ||||
Please comment or provide details below to improve the information on YONGTIAN TINA TAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.